Ohio Department of Health (ODH) Director Bruce Vanderhoff, MD, MBA, is urging Ohioans to take extra precautions when handling fruits and vegetables to help prevent cyclosporiasis, a gastrointestinal disease that has sickened hundreds of people across multiple states recently, including Ohio.
As of July 2, ODH is reporting 177 cyclosporiasis cases in the state in 2026. Of those, 171 cases occurred in June, mostly since June 20.
Twenty-eight Ohioans have been hospitalized. Cyclosporiasis is not typically life-threatening but can cause watery, and sometimes explosive, diarrhea.
“Fortunately, there have been no deaths in Ohio, as is consistent with our past experiences with this illness,” Dr. Vanderhoff said. “Nevertheless, this is a serious illness that can cause dehydration and require people to seek emergency medical care, and it should be taken seriously.”
ODH and local health departments are working with neighboring state partners and federal partners to investigate this outbreak. This includes conducting interviews and traceback investigations to help identify any potential common exposures.
The illness is caused by a microscopic parasite — Cyclospora cayetanensis, also known as Cyclospora. The disease generally is transmitted by eating contaminated produce.
At this point, no common source has been identified and the investigation is ongoing.
The most common symptom is watery diarrhea. Bloating or cramping or loss of appetite can also occur. If not treated, symptoms may seem to get better and then return one or more times. Ohioans who experience these symptoms should contact their healthcare provider.
Cyclosporiasis can be treated with antibiotics. Getting rest and plenty of fluids are also important to recovery.
To help prevent cyclosporiasis:
A breakdown of cases by local counties includes: